Meter Swap ,
Request Number: 11610
Public Works Division
Service Request
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Problem Address: 201 2�LSt Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER ' Phone Number:
Scheduled Date: 2016-06-24 Scheduled Time:
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Complet
���-C�
r � ' - Ci#y�f Fridfe�
- . - in�at�r Departaroent . . ,�.,
���1 Universe�y Avenue NE
Fridley,iVfi� 55432
(753�5�2-3565
t/wr� hereby autharire t�e Ciiy af Fsidtey and jar its
employe++ess#o do what�s nesessae�ta replace the water me#er� [under5tand that the prap+erty 4wner
is Ita61e fQr the water tine frocn the main t�a the premise and ai4 ir�eraur plumbing. �Per Gry cade
402.[l6) i.ais�hold the+C`�y of�ridley andJit�employees harmi�ss ur any amages a may nc �-
+�hile doing this aperativn. This to inciude,6ufi not(imited#a;ualues,RPPin�.walls,�toars or the curb
�arp box and service 1➢ne. t understand t am also requirec{to ahta+n a Perrnit P�°��'�°��°��
ne�essary, � �� ��
. final meter reading(o8d meter} ` .
Name• Address: ��_� S�� �rVe.
s �����
Ph�ne Number: Date;
. �
�ignatura:
Witn�ss 5ignai.vre•
fRiD1.EY CITY C�DE
+�HP�PTER�iJZ.WA�ER,SC�RM W�►TER,Aidfl�ANITARY SEWER
�iitl�MtNlS7'tiATi01�1
�Ref�rd�(a 113,464,5�5;556,6��,�38,662,922,988,1�.44,1156,1.191}
402,05.PERMI�'F�E �
Prior to canstructing or repair aT any water ar sevuer tine connectingthe existing municipat system and any hause
ar huiiding for which tt►e applica�ion is made,the awner nr cantracfor shali be require�l ta obtain a petmi�foc suct�
canrrectiar�,and shall pay a permi�fee as provided in Chapter 11 of�his Code. After such connection has 6een
made,tfie Wa#es and 5ewer i�epartmeat shail be natif[ed. it shall he[�nlav�ful to caver any cannecting Gne unti)an
inspec�ion has�eea made and su�h cannectinn and the w�,ck incide�thereta I�as 6een approued by the C'ity a�a
properand suitab[e connection.
402.06.REPAIRS AND N1AiNTENANCE T43�f3NN�7'!QN
-A�f-�kl�-iAI�I CttA172d'i�TLtlat b-�1_��ti�''�th ura��{&�fU1Ce CLIi'U 5f0U fldli 44'�IIE!S�Nl2f IE1CI dt��t2�if4(]�C�'.
line or a water serv9ce ar sewer lead has been ex�eaded to the prnpertyline for cannechonj ttie appti�a�,owner,
ar the occupant ar user of such premise�shail be lia�bie far al(�epai�required i�arry water(ine and sewer line5
neces3ary for cvnnection of the prernises frflm the main ta the pr�ise�. if the prope�y owner requestc
rnainfienance senrice ar repairs be perfarmed hY tlie City,tfie proP�.Y awner shall be charged for the ca�s of the
maintenance and/oc repairs, inciuding any necessary street repairs,at a rate set annaaliy by.an administrative
pvticy. 1t shall6e the responsi6lity of t�e aFP��cant!awnerf°ccupanfim�+sar t°p��f°rm��d�rd maintenance af
� the sewer service line fram the Prem�$e5�°�►e main incfuding dehris dearing or root cutting and Co mairitairi the
water servic�cur6�top hox for v_perability and afi 5uth height as will ensure that it remains a6ove the finished
. .
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